IndividualActive
Olivia Stallard, DMD
NPI 1972127074 · Dentist · Wise, VA
Provider details
- NPI number
- 1972127074
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 0401416861 (VA)
Specialties & taxonomies
Dental Providers
Practice location
5626 Patriot Dr
Wise, VA 24293-1138
Phone: (276) 328-8850
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 118
Coeburn, VA 24230-0118
Registry dates
- Enumerated
- 2020-06-04
- Last updated
- 2020-06-04
- Certified
- 2020-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.